Exam 20: Thermoregulation

The nurse is providing care to a client who has a body temperature of 94°F,an irregular heart rate,and low blood pressure.Which is the priority intervention for this client?

A client is admitted to the emergency department with a body temperature of 103°F.It is a hot and humid day,and the client works in a factory with no air conditioning.Which actions by the nurse are appropriate when providing care to this client? Select all that apply.

The nurse needs to assess the body temperature of a client who has just smoked a cigarette and consumed hot coffee.Which temperature assessment method should the nurse use?

A nurse working in an outpatient pediatric clinic is speaking to the mother of a school-age client who has a temperature of 101°F.Which statement should the nurse include when instructing the mother on treatment of the fever?

A young adult client is admitted to the emergency department with symptoms of hypothermia.Which data collected during the health history supports this diagnosis? Select all that apply.

The nurse is caring for a client admitted with minor burns and elevated body temperature after being in a house fire.What should be included in this client's plan of care? Select all that apply.

The nurse is planning to instruct a new mother on ways to prevent hypothermia in her newborn.What should this teaching include? Select all that apply.

A nurse working in labor and delivery is aware that newborns have several physiologic mechanisms that increase heat production to prevent hypothermia.What is true regarding newborn thermogenesis?

A client is started on antibiotic therapy for a respiratory infection.Which goal is appropriate for this client?

A client is admitted with the diagnosis of fever of unknown origin.Which diagnostic tests does the nurse anticipate for this client? Select all that apply.

A client is receiving care for an elevated body temperature.Which assessment findings indicate that care has been effective? Select all that apply.

During an assessment,the nurse notes that a client who was a victim of an industrial accident has a mildly elevated body temperature.When discussing the client's increased temperature,which will the nurse attribute it to?

The mother of preschool-age client tells the nurse that the client has frequent fevers.Which response by the nurse is appropriate?

An older adult client admitted with pneumonia has a normal body temperature.Which reason for this inconsistency in body temperature will the nurse plan for when providing care to this client?

The nurse assesses a client's temperature to be 99.8°F.Which nursing diagnosis would be appropriate for the client at this time?

A nurse educator is teaching a group of student nurses regarding heat and cold injuries.Which statement will the nurse include about thermoregulation?

A nurse is caring for a client with hypothermia and frostbite of the nose and fingers.Which action by the nurse is inappropriate for this client?

The nurse assists with the delivery of a newborn on the labor and delivery unit.By drying the newborn immediately after birth,the nurse is protecting heat loss by which method?

A client is admitted with a core body temperature of 93°F.Which action by the nurse is appropriate for this client?

The nurse is educating a family who is planning an ice fishing trip on ways to prevent hypothermia.Which recommendation by the nurse is appropriate?